Active NPI
Salih Dental Kedzie Inc.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1619458767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SALIH DENTAL KEDZIE INC.
- Practice address
- 6235 S Kedzie Ave Unit 2
Chicago, IL 60629-3304 - Phone
- (773) 853-0593
- Fax
- (773) 913-0508
- NPI assigned
- Aug 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eva Bloda, DDS
- Title
- Dr.
- Phone
- (773) 853-0593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
6235 S Kedzie Ave Unit 2
Chicago, IL 60629-3304
Mailing address
6235 S Kedzie Ave Unit 2
Chicago, IL 60629-3304
Phone (773) 853-0593
National Provider Directory
National Provider DirectoryLocations
6235 S Kedzie Ave
#2
Chicago, IL 60629
Phone (773) 853-0593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535328000000",
"number": "1619458767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 S KEDZIE AVE UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606293304",
"telephone_number": "773-853-0593",
"fax_number": "773-913-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6235 S KEDZIE AVE UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606293304",
"telephone_number": "773-853-0593",
"fax_number": "773-913-0508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALIH DENTAL KEDZIE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A",
"authorized_official_last_name": "BLODA",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "773-853-0593",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.